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Drugs That Prolong the QT Interval and/or Induce Torsades de Pointes

-Raymond L. Woosley, MD, PhD

Information from the medical literature, the FDA-approved drug labeling and reports submitted to the FDA Adverse Events Reporting System database.

Browse by clicking on the first letter of the drug's brand or generic name:

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Generic Name Domperidone PubMed Search
Brand Name(s) Motilium®
Drug Class Anti-nausea
QT
TdP
Risk Group A drug that is generally accepted by authorities to have a risk of causing Torsades de Pointes. This drug should be avoided for use in patients with diagnosed or suspected Congenital Long QT Syndrome.
Comments

Not available in the U.S.

Generic Name Dronedarone PubMed Search
Brand Name(s) Multaq®
Drug Class Anti-arrhythmic
QT
TdP
Risk Group A drug that may prolong the QT interval but at this time lacks substantial evidence for causing Torsades de Pointes. This drug should be avoided for use in patients with diagnosed or suspected Congenital Long QT Syndrome.
Comments

data2



Generic Name Isoproterenol PubMed Search
Brand Name(s) Isupres®,Medihaler-Iso®
Drug Class Catecholamine
QT
TdP
Risk Group A drug to be avoided for use in patients with diagnosed or suspected Congenital Long QT Syndrome.
Comments


Generic Name Mesoridazine PubMed Search
Brand Name(s) Serentil®
Drug Class Anti-psychotic
QT
QT prolongation is mentioned in the FDA-approved labeling as a known action of the drug.
TdP
The FDA-approved labeling includes mention of cases or a risk of Torsades de Pointes.
Risk Group A drug that is generally accepted by authorities to have a risk of causing Torsades de Pointes. This drug should be avoided for use in patients with diagnosed or suspected Congenital Long QT Syndrome.
Comments


Generic Name Metaproterenol PubMed Search
Brand Name(s) Alupent®,Metaprel®
Drug Class Bronchodilator
QT
TdP
Risk Group A drug to be avoided for use in patients with diagnosed or suspected Congenital Long QT Syndrome.
Comments


Generic Name Methadone PubMed Search
Brand Name(s) Dolophine®,Methadose®
Drug Class Opiate agonist
QT
TdP
Risk Group A drug that is generally accepted by authorities to have a risk of causing Torsades de Pointes. This drug should be avoided for use in patients with diagnosed or suspected Congenital Long QT Syndrome.
Comments

Females>Males

Generic Name Methylphenidate PubMed Search
Brand Name(s) Concerta® ,Ritalin®
Drug Class CNS stimulant
QT
TdP
Risk Group A drug to be avoided for use in patients with diagnosed or suspected Congenital Long QT Syndrome.
Comments


Generic Name Mexiletine PubMed Search
Brand Name(s) Mexitil®
Drug Class Anti-arrhythmic
QT
TdP
Risk Group Drugs that carry a risk of torsades de pointes and/or QT prolongation under certain conditions, such as patients with congenital long QT syndrome, drug overdose or co-administration of interacting drugs.
Comments


Generic Name Midodrine PubMed Search
Brand Name(s) ProAmatine®
Drug Class Vasoconstrictor
QT
TdP
Risk Group A drug to be avoided for use in patients with diagnosed or suspected Congenital Long QT Syndrome.
Comments


Generic Name Moexipril/HCTZ PubMed Search
Brand Name(s) Uniretic®
Drug Class Anti-hypertensive
QT
QT prolongation is mentioned in the FDA-approved labeling as a known action of the drug.
TdP
Risk Group A drug that may prolong the QT interval but at this time lacks substantial evidence for causing Torsades de Pointes. This drug should be avoided for use in patients with diagnosed or suspected Congenital Long QT Syndrome.
Comments


Generic Name Moxifloxacin PubMed Search
Brand Name(s) Avelox®
Drug Class Antibiotic
QT
QT prolongation is mentioned in the FDA-approved labeling as a known action of the drug.
TdP
Risk Group A drug that may prolong the QT interval but at this time lacks substantial evidence for causing Torsades de Pointes. This drug should be avoided for use in patients with diagnosed or suspected Congenital Long QT Syndrome.
Comments


Generic Name Sibutramine PubMed Search
Brand Name(s) Meridia®
Drug Class Appetitie suppressant
QT
TdP
Risk Group A drug to be avoided for use in patients with diagnosed or suspected Congenital Long QT Syndrome.
Comments


Generic Name Thioridazine PubMed Search
Brand Name(s) Mellaril®
Drug Class Anti-psychotic
QT
QT prolongation is mentioned in the FDA-approved labeling as a known action of the drug.
TdP
The FDA-approved labeling includes mention of cases or a risk of Torsades de Pointes.
Risk Group A drug that is generally accepted by authorities to have a risk of causing Torsades de Pointes. This drug should be avoided for use in patients with diagnosed or suspected Congenital Long QT Syndrome.
Comments


A note about Brand Names: Drugs are listed with up to 2 common brand names. There are many more brand names for some of the common drugs, such as pseudoephedrine and erythromycin. It is also important to look at the list of active drugs in medicines that contain a combination of drugs such as Zyrtec-D®, which contains pseudoephedrine.


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